Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Penchala Swamy Mittadodla, MD

Individual provider Pulmonary Disease Physician · NPI 1720219397

Dr. Penchala Swamy Mittadodla, MD is a Pulmonary Disease in Rogers, Arkansas. Qualified in 2002, 24 years ago. Practices with Mercy Health Northwest Arkansas Communities, a 316-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
24
Licensed in
AR
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2708 S Rife Medical Ln Ste 200
Rogers, AR 72758-1452
Phone: (479) 338-3080
Fax: (479) 338-3089
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence E-8192 (AR)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence E-8192 (AR)

Record details

NPI number1720219397
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 30, 2009
Last updated in NPPESAugust 10, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Mercy Health Northwest Arkansas Communities — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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